Thank you for your interest in joining our team! Please review the job information below.
GENERAL PURPOSE OF JOB:
The Billing Specialist oversees the accurate completion of the charge entry billing process to ensure the financial viability of the organization in accordance with State and Federal reimbursement guidelines. Duties include but are not limited to ensuring accurate and timely charge entry for physician groups, correct ICD-10 coding relating to ensuring clean claims via
electronic or paper submission, Radiology charge entry into Code-Ryte, assistance with claims EOP printing for secondary claim filings, and being instrumental in the secondary claims filingprocess.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all- inclusive; employees will perform other reasonably related business duties as assigned by the
immediate supervisor and/or hospital administration as required.
- • Maintains utmost level of confidentiality at all times.
- • Adheres to hospital policies and departmental procedures.
- • Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
- • Enter patient charges to corresponding patient accounts.
- • Demonstrates an understanding of security and confidentiality of data and information.
- • Maintains a calm, professional demeanor at all times.
- • Effectively demonstrates DCH’s philosophy, values, and mission as evidenced by interactions with others.
- • Maintains and ensures confidentiality of patient records at all times.
- • Monitors Notifies Supervisor of any billing rejection trends or system problems/issues immediately.
EDUCATION AND/OR EXPERIENCE:
- High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
- One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.
- Experience working with Epic software preferred.
- Ability to spell medical terminology accurately.
- Ability to type 60WPM.
- Prior experience working in a medical billing office preferred
Skills Required
- High school diploma, GED, or equivalent combination of education and experience
- Ability to spell medical terminology accurately
- Ability to type 60 words per minute
- One-year certificate from a college or technical school, or three to six months of related experience and/or training
- Experience working with Epic software
- Prior experience working in a medical billing office
What We Do
We provide the absolute best pediatric care in South Texas, where care and community come together. Together, we heal
